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ENG. INSPECTION FEE
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TOTAL AMOUNT DUE
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WORKMEN S COMPENSATION INSURANCE AND PCW 18.21.
OFFICI�S SIGNATURE DATE
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By DATE
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EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL. FILE YELLOW INSPECTOR
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
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